Direct costs of a single case of refugee-imported measles in Kentucky

Coleman, Margaret S.; Garbat-Welch, Luta; Burke, Heather; Weinberg, Michelle; Humbaugh, Kraig; Tindall, Alicia; Cambron, Janie

doi:10.1016/j.vaccine.2011.10.091

Cited by 35 publications

(37 citation statements)

References 6 publications

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“…In the United States in 2011, 222 measles cases were identified, and of those 200 were associated with importations from other countries 18 . Further, other recent studies document the costs of measles outbreaks in the United States 12,19-21 and one of these publications includes the costs of response to another refugee-associated measles case in Kentucky 12 . The reported results of this study indicate that vaccinating US-bound refugees overseas would contribute to a reduction in the domestic medical and economic burden of measles.…”

Section: Discussionmentioning

confidence: 67%

“…The index case sparked the outbreak was 15 y old and was neither vaccinated nor immune from having measles at a younger age when infection is more common 12,15 . Between January 1 and May 29, 2015, 173 persons contracted measles after contact with a single index case at a theme park in California 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Employee salaries were determined by matching state-reported titles with the same or similar titles in the Occupational Employment Statistics (OES) 12,22 . Often the state-reported employee title was the same as the OES title, e.g., epidemiologist, registered nurse, etc.…”

Section: Methodsmentioning

confidence: 99%

“…Wages were set from state data and were adjusted to become salaries by adding 35% for benefits and taxes 12,23 . State-by-state labor costs were estimated by multiplying the salaries of each title times the reported time spent on the HD response 12 …”

Section: Methodsmentioning

confidence: 99%

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Cost analysis of measles in refugees arriving at Los Angeles International Airport from Malaysia

Coleman

Burke

Welstead

et al. 2017

Human Vaccines & Immunotherapeutics

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BackgroundOn August 24, 2011, 31 US-bound refugees from Kuala Lumpur, Malaysia (KL) arrived in Los Angeles. One of them was diagnosed with measles post-arrival. He exposed others during a flight, and persons in the community while disembarking and seeking medical care. As a result, 9 cases of measles were identified.MethodsWe estimated costs of response to this outbreak and conducted a comparative cost analysis examining what might have happened had all US-bound refugees been vaccinated before leaving Malaysia.ResultsState-by-state costs differed and variously included vaccination, hospitalization, medical visits, and contact tracing with costs ranging from $621 to $35,115. The total of domestic and IOM Malaysia reported costs for US-bound refugees were $137,505 [range: $134,531 - $142,777 from a sensitivity analysis]. Had all US-bound refugees been vaccinated while in Malaysia, it would have cost approximately $19,646 and could have prevented 8 measles cases.ConclusionA vaccination program for US-bound refugees, supporting a complete vaccination for US-bound refugees, could improve refugees' health, reduce importations of vaccine-preventable diseases in the United States, and avert measles response activities and costs.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Cost analysis of measles in refugees arriving at Los Angeles International Airport from Malaysia

Coleman

Burke

Welstead

et al. 2017

Human Vaccines & Immunotherapeutics

Self Cite

View full text Add to dashboard Cite

show abstract

“…In 1994, the Pan American Health Organization (PAHO) set a goal of measles elimination for the region of the Americas by 2000 and in 2003 it set a goal for elimination of rubella by 2010 [10][11][12]. PAHO successfully stopped indigenous transmission of measles viruses in the Americas in 2002 and rubella in 2009 [13], but PAHO countries remain vulnerable to importations from other regions, which can cause extensive and expensive outbreaks [14][15][16]. Currently, four other WHO regions are pursuing goals to stop indigenous measles transmission (Eastern Mediterranean by 2015, European by 2015, Western Pacific by 2012, and African by 2020) and the South-East Asia Region set a goal to reduce measles mortality by 95% compared with 2000 levels by 2015 [13].…”

Section: Introductionmentioning

confidence: 99%

National and Global Options for Managing the Risks of Measles and Rubella

Thompson¹

2012

J Vaccines Vaccin

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Countries currently choose from several different measles and rubella containing vaccine options and use a wide range of vaccination schedules as they control the transmission of measles only or measles and rubella viruses within their borders and cooperate and coordinate to achieve regional and/or global goals. This paper discusses the current national options that countries use or could use for national measles and/or rubella control or elimination and existing associated regional goals to characterize the expected current global path and identify alternative paths. With highly effective, relatively inexpensive, and safe vaccines available we can potentially end indigenous measles and rubella virus transmission. The Pan American Health Organization eliminated endemic transmission of both measles and rubella, which demonstrated the possibility of global eradication, and four other regions of the World Health Organization are now pursuing targets for regional elimination. We discuss the choice of a global strategy of control compared to eradication to highlight the choices, opportunities, issues, and challenges that will ultimately determine the magnitude of human and financial costs of measles and rubella globally over the next several decades and beyond.

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